How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $3,890.45 | Facility | None | $812.83 | $1,047.13 | $3,890.45 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $407.38 Median $524.81 Typical High $1,949.84 | Facility | 52 · Reduced service | $407.38 | $524.81 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $162.18 Median $208.93 Typical High $776.25 | Facility | 53 · Discontinued | $162.18 | $208.93 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $912.01 Typical High $977.24 | Professional | None (both parts) | $812.83 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $457.09 Typical High $489.78 | Professional | 52 · Reduced service | $407.38 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $181.97 Typical High $199.53 | Professional | 53 · Discontinued | $162.18 | $181.97 | $199.53 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $5,754.40 | Facility | None | $1,513.56 | $1,584.89 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $380.19 | $1,023.29 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
Where Louisiana sits
The same service costs 12.0 times more in Texas than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 31st of 51
$603
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.